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A new model to assess analgesic activity: Pain‐


induced functional impairment in the rat
(PIFIR)

Article in Drug Development Research · February 1993


DOI: 10.1002/ddr.430280207

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DRUG DEVELOPMENT RESEARCH 28:169-175 (1993)

Research Article

A New Model to Assess Analgesic Activity: Pain-Induced


Functional Impairment in the Rat (PIFIR)
Francisco J.Lopez-Munoz, Luis A. Salazar, Gilberto Castaneda-Hernandez, and
Julian E. Villarreal
Seccidn de Terapeutica Experimental, Departamento de Farmacologia y Toxicologia, Centro
de lnvestigacidn y de Estudios Avanzados del lnstituto Politecnico Nacional, Mexico
(L.A.S., C.C.-H., I.E.V.);and Departamento de Sistemas Bioldgicos, Universidad
Autdnoma Metropolitana-Xochimilco, Mexico (F.).L.-M.)

ABSTRACT A new experimental model to assess analgesic activity of both analgesic and non-
steroidal antiinflammatory drugs is described. It uses the unilateral intra-articular knee injection of
an uric acid suspension in mineral oil to produce acute inflammation, pain, and functional motor
impairment. The model, named "pain-induced functional impairment in the rat" (PIFIR) assesses
analgesic activity by measuring the capacity to walk with the injured extremity. The procedure
determines both the potencies of analgesic drugs and the time course of the effect. Analgesia of
selected reference agents was followed for 4 h and the effect versus time curves were constructed.
The area under the curve (effect versus time), an expression of the overall activity during the
observation period, increased in a dose-dependent manner. The area under the curve, Em,,, T,,,,,
and ED,, of reference agents tested are reported. The PlFlR procedure was sensitive to opiate and
nonopiate analgetics (nonsteroidal antiinflammatory drugs) and possibly steroidal antiinflammatory
drugs. These characteristics make it suitable for screening purposes. o 1993 wiley-~iss,I ~ C .

Key Words: pain model, analgesia, PIFIR, opioids, nonsteroidal antiinflammatory drugs, rat

INTRODUCTION in nociception during tonic pain states is required if


novel analgesics are to b e properly evaluated
Understanding of the mechanisms of analgesia [Wheeler-Aceto and Cowan, 19911.
and t h e development of novel analgesic agents de- There are several models of persistent pain. O n e
pends to a major extent on the available animal meth- is adjuvant-induced polyarthritis in the rat [Pearson,
ods for t h e quantitative determination of pain. The 19561. This procedure has been well characterized
majority of t h e traditional assays for analgesic activity [ D e Castro Costa e t al., 19811 and has proven to b e
measure transient rather than continuous pain. These useful for the assay of analgesic agents [Pircio e t al.,
models vary widely in the type of noxious stimuli ap- 19751. However, the induction of polyarthritis results
plied. Some of these use thermal stimuli [D'Amour in an extended systemic involvement and therefore
and Smith, 1941; Woolfe and McDonald, 19441, while observed responses cannot b e confidently considered
others use mechanical [Bianchi and Franceschini, as d u e to nociception alone [Wheeler-Aceto and
1954; Collier e t al., 1961; Randall and Selitto, 19571, Cowan, 19911.
electrical [Turker and Turker, 1970; Ayhan e t al.,
19831. and chemical stimulation [Siegmund e t al..
Received final version October 29, 1992; accepted Novem-
T h e relevance of phasic endpoints yielded by
acute stimuli to clinical pain has been questioned, as ber 2, 1992,
Address reprint requests to Francisco 1. L6pez-MuAoz, De-
the in the aforementioned methods ar' ar- partamento de Sistemas Biol6gicos, Universidad Aut6norna Met-
tificial noxious stimuli [Pircio e t al., 19751. A better ropo~itana-Xoch~mi~co, Apartado Postal 23-181 col, Sari juan,
understanding of the physiological processes involved Delegation Xochimilco 16000 Mexico D.F., Mexico.

63 1993 Wiley-Liss, Inc.


Alternative methods have been described, such ether vapors). Pain was induced by an intra-articular
as intra-articular or subcutaneous injections of a vari- injection of 0.05 ml of 30% uric acid suspended in
ety of substances in a hind limb [Faires and McCarty, mineral oil in the knee joint of the right hind limb.
1962; Pardo and Rodriguez, 1966; Van Arman et al., The suspension was prepared by grinding 3.0 g of uric
1970; Okuda et al., 1984; Wheeler-Aceto and Cowan, acid with 10 ml of mineral oil in a glass mortar and
19911. These procedures have been useful for both pestle (Pirex). The intra-articular injection was per-
the assay of analgesic drugs and the characterization of formed through the patellar ligament using a 1 ml
the inflammatory process. glass syringe (Becton, Dickinson LTDA, Brazil) with a
To adequately evaluate the potential efficacy of 24 gauge needle of 5 mm. Immediately, an electrode
an analgesic agent, it is necessary to determine not was attached to each hind paw between the plantar
only the analgesic efficacy at a fixed time but the du- pads. Rats were allowed to recover from anaesthesia
ration of the effect [Mattok, 19881. Methods that allow and were then placed on a stainless steel cylinder of
the determination of the time course of analgesia will 30 cm diameter. The cylinder was rotated at 4 RPM,
facilitate characterization of the mechanisms of action forcing the rats to walk. Training periods were not
of analgesic drugs and pharmacokinetic/pharmacody- necessary because the rats learning in the first min-
namic studies. utes. The variable measured was the time of contact
Pardo and Rodriguez [I9661 developed a method between each of the rat's hind paws and the cylinder.
in dog which allowed them to quantitatively follow When the electrode placed on the animal's paw made
the analgesic action with time. Another procedure de- contact with the cylinder floor, a circuit was closed
veloped by Van Arman et al. [I9701 allowed a quan- and the time that the circuit remained closed was
titative estimation of analgesia, but all measurements recorded. The cylinder was rotated for 2 min periods,
were taken at fixed time. Okuda et al. [I9841 reported during which time recordings were made with 30 min
a modified version of this procedure using cats that rest periods between recordings. In all subsequent
allowed them to follow the time course of morphine in experiments, analgesic agents were administered 2.5
a quantitatively fashion. These three procedures, al- h after uric acid injection. Thus, this time was con-
though they are suitable for the determination of an- sidered as time zero for measurements of analgesic
algesia over time, have the disadvantage that animals effect. Drugs were given at this time and the time of
must be submitted to lengthy training periods to ob- contact was measured every 30 min for 4 h. All ex-
tain reliable results. Nonetheless these procedures periments were performed between 7:00 am and
are useful in studying the physiological bases of pain 14:OO. The animals were then sacrificed.
and analgesia but are impractical for screening pur-
poses. Instrumentation
In the present study, we report a method of The rotary walking device consisted of a hollow
pain-induced functional impairment in the rat cylinder made of stainless steel of 30 cm diameter and
(PIFIR). This procedure determines the potency and 60 cm long. The cylinder was divided into six individ-
duration of analgesic action produced by various ual tracks with annular pieces of stainless steel of 48
classes of compounds by measuring their effect on cm of external diameter. Each track was covered with
inflammation-induced tonic pain and permits the stainless steel wire mesh (20 mesh per inch) to pro-
quantitative evaluation of the kinetics of the analgesic vide a nonslip surface for the animals. This arrange-
effect. ment allowed the study of six animals at the time. An
electrical motor (Westinghouse Elec. Corp. Model
MATERIALS AND METHODS 309P384-A) with electronic control rotated the cylin-
Animals der at a constant speed of 4 RPM.
Female Wistar rats, 180-220 g, from our own The time of contact of each hind paw was re-
breeding facilities [Crl: (WI)BR] were used in this corded by plantar electrodes. Each electrode con-
study. Twelve hours before experiments, food was sisted of a drop of silver solder in a disk-like form
withheld with free access to water. All procedures placed at the end of a 26 gauge insulated copper wire.
performed followed the recommendations of The The metallic disk was glued to a piece of rubber film
Committee for Research and Ethical Issues of the In- that was adhered to the hind paw with cyano-acrylic
ternational Association for the Study of Pain [1980]. adhesive to prevent direct contact between the metal
and the skin. The other end of the copper wire was
Measurement of Analgesic Activity connected to the time counting device. The schematic
The animals were anesthetized with ether in an diagram used for counting the time of contact be-
anesthesia chamber (glass dryer Pirex saturated with tween the electrodes and the cylinder floor is shown
ASSAY FOR ANALGESIC ACTIVITY: PlFlR

Figure 1. Schematic diagram of the system used for recording of the time of contact between the
rat's hind paws and the cylinder floor. A: Time counting device, B: switch box, C: switches, D:
electrodes, E: rotary walking stainless steel cylinder, F: rotating motor drive.

in Figure 1. An Apple@ I1+ computer equipped with The maximal observed effect (Em,,) can be ex-
a Mountain@ AID board and a switch box was used to pressed in terms of FI and the time required to reach
collect data by means of a Basic software routine (Fig. this response (T,,,,), as shown in Table 1. These pa-
2). rameters reflect the potency and the rate of onset of
drug action by a given route. Furthermore, since the
Drugs
time course of the effect has been followed, it is pos-
Uric acid was purchased from Sigma Chemical sible to use the cumulative analgesic effect during the
Co. (St. Louis, MO), Dipyrone sodium (Hoechst), whole observation period as the area under the curve
morphine hydrochloride (Mexican Secretariat of (AUC) in a similar manner to that used in pharmacok-
Health), pentazocine hydrochloride (Winthrop Prod- inetics to express the amount of drug absorbed
ucts), d-propoxyphene hydrochloride (ElinLilly), and [Gibaldi and Perrier, 19751.
hydrocortisone 21-phosphate (Sigma Chemical Co., Since the AUC value represents the integrated
St. Louis, MO) were dissolved in distilled water. Ace- analgesic effect during the observation period and
tylsalicylic acid (Miles) and acetaminophen (Sigma thus includes both the maximal response and the du-
Chemical Co., St. Louis, MO) were suspended in ration of action, this expression was preferred for the
0.5% carboxymethyl cellulose. Indomethacin (Merck, construction of dose-response curves. The maximal
Sharp and Dohme) was dissolved in a sodium bicar- possible AUC value that could be achieved under the
bonate solution. Adequate controls were performed experimental conditions was 375 area units (% . h).
with each of the used vehicles. Doses of each agent This is due to the fact that the maximal FI is 100% and
are referred to the particular salt. the observation period consisted of 4 h with the first
determination being performed at 0.5 h. Considering
Data Analysis that the FI reached 100% in 0.5 h and remained at
this value until the hour 4, the AUC obtained is 375
Data are expressed as the functionality index units (obtained with the trapezoidal rule and taking in
(FI). This is the time of contact of the injected limb account the area of the first triangle).
divided by the time of contact of the control left limb All values in the text and figures are mean of at
multiplied by 100. least six animals + SE. The area under the curve
172 LOPEZ-MUNOZ ET AL.

PROGRAM IN BASIC TO GATHER DATA IN THIS MODEL pathological analysis showed edema and inflamma-
10 TEXT: HOME: CLEAR: PRINT "<<<PIFIR>>>":PRINT tory infiltration in synovial membranes with no effect
20 INPUT "NAME OF DATA FILE? (RETURN = NONE) ":NO$
30 IF NOS = "" THEN 60 on the joint cartilage (data not shown). Groups of
40 N = 451: INPUT "NUMBER OF READINGS? (451 = 2 MINUTES) ": R$
50 IF R$ < > "" THEN N = VAL (R$) polymorphonuclear leukocytes forming masses or free
60 DIM D(121.V(l21.C(12)
70 REM *;**'SET UP.ADDRESS VECTOR +*+* filaments were present in the articular cavity. Fibrin,
80 FOR I = 1 TO 12
90 D(1) = 49315 + I:V(I) = 0: NEXT hemorrhage, or necrosis were absent and no synovial
100 C = Dfl): FOR I = 1 TO 11:D(I) = D(I+l): NEXT:D(lZ) = C
110 REM **** CLEAN UP READING ***I cell proliferation was detected. The intensity of the
120 FOR I = 1 TO 1 2 : ~= PEEK (~(1)): NEXT inflammatory lesion was moderate as reflected by for-
130 IF NO$ = "" THEN 420
140 REM ++++ READING LOOP 1 * * * * 1 * * 1 * * * * " ' * "
150 FOR I = 1 TO N: FOR J = 1 TO 12
mation of polymorphonuclear leukocyte exudate.
- - - C = PEEK ID(JI\
160 ~ - ,~ - ,
170 IF C-2-175 THEN V(J) = V(J) + 1
180 IF C > 175 THEN C(J) = C(J) + 1 Time Course of Functionality lndex (FI)
190 NEXT : NEXT : PRINT CHRS(7)
200
-~ REM- - **** DISPLAY
~- VALUES O N SCREEN ********
~
The time course of FI was followed for 6.5 h
210 HOME
220 VTAB 1: PRINT "CONTROL INJECTED" measuring every 30 min (Fig. 3). FI was 100% at the
230 FOR J = 2 TO 12 STEP 2: VTAB J: PRINT V(J), V(J -1): NEXT
240 IF NOS = "" THEN END start of the experiments, i.e., the time of contact (sec)
250 INPUT "SAVE DATA? (Y/N) ":R$: IF R$ = "N" THEN 340
260 PRINT CHRS(4) "OPEN "NO$: ",D2" between both hind limbs was similar. Control rats
270 PRINT CHRS(4) "WRITE "NO$
280 PRINT CHRS(41 "CLOSE "NOS injected with 0.05 ml of mineral oil did not show any
290 PRINT C H R S ~ "APPEND
~ ~ "NOS
300 PRINT c H ~ S ij4 "WRITE "NOS ' significant decrease (P > 0.05) of FI during the whole
310 FOR I = 1 TO 12
320 PRINT V(1): NEXT period of observation. Intra-articular injection of uric
330 PRINT CHRS(~)"CLOSE "NOS
340 PRINT: PRINT; INPUT "ANOTHER READING? (Y/N) W : RS acid suspension induced a dysfunction of the injected
350 IF R$ = "N" THEN 392
360 FOR I = 1 TO 12 limb that was apparent as a gradual reduction of FI
370 V(I) = O:C(I) = 0: NEXT
~ - --- ~~. -~ -
with a maximal decrease at 2.5 h leveling at zero for
390
392
GOT0 120
PRINT: PRINT : INPUT "ANOTHER TEST READING? (Y/N)";R$
the remainder of experiment (6.5 h). Morphine (10
393 IF RS = "N" THEN 400 mg/kg sc) administered at 2.5 h when FI approached
394 FOR I = 1 TO 12:V(I) = O:C(II. . = 0: NEXT
395
396
HOME: CLEAR :NO$ =
GOT0 30
zero produced a gradual recovery. Values reached a
400
410
PRINT CHRS(4 ) "RUN DIRECTORY ,Dl"
REM **** SYSTEM TEST ****
maximum of about 75% and then decreased slowly.
420 C5 = 175: HOME: PRINT CHRS(12)
430
440
VTAB 1: PRINT "CONTROL INJECTED"
N = 30: FOR I = 1 T O N: FOR J = 1 TO 12
Effect of Morphine Administered by Various Routes
450 C = PEEK (D(J))
460 IF C < C5 THEN VfJl = V(J1 + 1 The FI values obtained with morphine after i.p.,
470 IF c > c5 THEN c i ~ j= c i ~ j+ 1
480 NEXT i.m., and p.o. administrations are depicted in Figure
490 FOR J = 2 TO 12 STEP 2: VTAB J: PRINT V(J),V(J-1): NEXT
500 NEXT : PRINT CHRS(7): CHRS(7): GOT0 340 4. Doses of 10 mg/kg i.m. or 31.6 mgkg i.p. yielded
results similar to those observed with 177.8 mg/kg
Figure 2. Program in basic t o gather data in t h e PIFIR. p.o. (P > 0.05). FI reached a maximum of about 70%
to 80% in 1 h and then decreased gradually. An oral
dose of 177.8 mg/kg resulted in a relatively rapid in-
(AUC) relating FI versus time was obtained by the crease of FI over a 1.5 h period, followed by a sus-
trapezoidal rule [Gibaldi and Perrier, 1975; Rowland tained effect for the remainder of experiment. These
and Tozer, 19891. Control rats and rats injected with results were consistant with the pharmacokinetic pro-
uric acidlmineral oil were compared by analysis of file of morphine [Jaffe and Martin, 19911.
variance (ANOVA) and Dunnett's test. The AUCs of
morphine administered by differents routes were Effect of Reference Agents on the Functionality lndex
compared using ANOVA. Values of P < 0.05 were The time-action course of selected analgesic and
considered statistically significant. ED,, values were antiinflammatory agents on the FI are shown in Fig-
calculated by a polynominal program fitting of two ure 5. Morphine (5.6 mg/kg sc) induced a rapid in-
variables in iterative form taking in account the max- crease in FI which reached a maximum of about 70%
imal effect possible in this model, 375 units of AUC. in 1 h and then decreased. Acetylsalicylic acid (316.2
The E,,, and T,,, were obtained directly from the mdkg p.0.) produced a maximal functionality index of
FI against time curves of doses that produced the 45% in 1 h and values remained stable for 4 h. Ace-
highest AUC of each drug. taminophen (177.8 mg/kg p.0.) increased the FI by
27% in 1 h followed by a rapid decline to zero in 3 h.
Indomethacin (2.4 mg/kg sc) induced a slow but
RESULTS
steady increasing FI, reaching 70% in 4 h. For this
Histopathology reason the maximal effect of indomethacin could not
Intra-articular injection of uric acid in the right be established within the 4 h observation period. Hy-
hind knee produced local acute inflammation. Histo- drocortisone (50 mdkg sc) exhibited a latency period
ASSAY FOR ANALGESIC ACTIVITY: PlFlR 173

TABLE 1. Some Pharmacological Parameters of Opiates and Nonsteroidal Antiinflammatory Drugs Determined in the PlFlR Model
Drug and ED, in
dose ErnaXa T~rnaxa AUC PI FIR^
(mglkg) (FI) X 2 SE (h) (% . h) X & SE (mg/kg) X 2 SE
Morphine ( 1 7.8 sc) 96.6 12.6 1.5 310.2 25.3 7.9 1.3
Pentazocine (31.6 sc) 78.2 26.5 3 .O 241.8 72.1 30.2 5.4
d-Propoxyphene (31 6.2 sc) 87.2 6.0 4.0 204.1 17.2 208.2 4.1
lndomethacin (3.16 sc) 74.1 10.9 3 .O 227.4 30.1 2.6 1.3
ASAC (562.3 p.0.) 83.9 7.5 2.5 258.3 54.6 399.6 1.9
Dipyrone (1,000 sc) 87.0 5.2 2.5 268.9 15.34 517.5 1.2
"Variables measured of curves of time course.
b~arameterobtained taking as Em, the general maximal effect in this model in the present form (375 area units).
'Acetylsalicylic acid.

oy' I

0 1 2 3 4
0 'Morphins 4 6 T lM E (hours)
T lM E (hours)
Figure 4. Time course of FI in rats injected with uric acid treated
Figure 3. Time course of FI. (O), Control rats (intra-articular in- by morphine 2.5 h after uric acid injection. (0)10 mglkg i.m.; (0)
jection of 0.05 ml of mineral oil in the right hind knee).,).( Uric 31.6 mglkg i.p.; (W) 177.8 mglkg p.0. Symbols represent the mean
acid rats (intra-articular uric acid in the right hind knee). (n),
Uric & SE for at least eight animals. P > 0.05 between these groups.

acid-morphine rats (10 mglkg of morphine sc 2.5 h after uric acid


injection). Data are presented as mean 2 SE of six animals. P >
0.05 between control rats and temporal course of rats injected phine appeared to be the most potent of the assayed
with mineral oil. compounds but indomethacin showed a limited effi-
cacy with a maximum at 227 area units. Pentazocine
yielded a parallel curve but shifted to the right com-
of 1.5 h, prior to any effect being seen, and reached a pared to that of morphine. A lower potency as well as
maximum of 40% in 3-4 h. The doses used were se- a limited efficacy were observed with d-propoxy-
lected from dose-response curves obtained previ- phene, which reached its maximum at about 200
ously. area units. Acetylsalicylic acid p.o. and dipyrone sc
The observations with different compounds sug- yielded similar dose-response curves. They were con-
gest that the temporal patterns of drug action may siderably less potent than indomethacin but they ex-
reflect the pharmacological properties characteristic hibited a higher efficacy. A summary of parameters as
to a class of compounds. For example analgesic agents such Em,,, T,,,,, AUC, and the ED,, of the drugs
had a fast onset while antiinflammatory compounds from the data shown in Figure 6 are documented in
were slower acting. Table 1.
Expression and Analysis of Experimental Data
The results with morphine, pentazocine, d- DISCUSSION
propoxyphene, indomethacin, and dipyrone were ad- The PIFIR method appears to be suitable for the
ministered sc and acetylsalicylic acid given orally are assay of analgesic drugs but is not suitable to charac-
presented in Figure 6. In all cases AUC increased in terize agents such as indomethacin because of their
a dose-dependent manner. Indomethacin and mor- delayed onset and long duration of action. The deter-
174 LOPEZ-~ufioz
ET AL.

were similar to those reported with sodium urate-


induced effects in dogs [Van Arman et al., 19701 and
cats [Okuda et al., 19841.
It has been reported that the leg dysfunction is
mainly produced by the inflammatory process be-
cause it was reversible by antiinflammatory agents
[Van Arman et al., 19701. However, Okuda et al.
[I9841 have provided evidence using morphine that
animals avoid using the traumatized extremity chiefly
because of a manifestation of pain. In our experiments
we observed that drugs without antiinflammatory ac-
tions, such as morphine, exhibited high potency, and
0 1 2 3 4 efficacy. Conversely, pure antiinflammatory agents,
T I M E (hours) such as hydrocortisone, showed a different activity
and the onset of the effect was very slow (indometh-
Figure 5. Time course of FI in rats injected with uric acid treated
acin was active but was observed over too short a
by analgesic and antiinflammatory agents. ( a ) Morphine 5.6 mg/
kg sc; (0) acetylsalicylic acid 316.2 mg/kg p.0.; (H) acetami- period). These results are in agreement with those of
nophen 177.8 mglkg p.0.; (0) indomethacin 2.4 mglkg sc, and Okuda et al. [I9841 and suggest that leg dysfunction is
( A ) hydrocortisone sc 50 mglkg. Symbols represent the mean 2 primarily due to pain caused by acute inflammation.
SE for at least six animals. Uric acid injection produced a persistent dys-
function of the injured limb which lasted at least for 4
h (Fig. 3). Therefore, the procedure can be consid-
ered as a model of tonic pain and thus may simulate
clinical pain in temporal parameters.
The use of the FI has the advantage that the
noninjured limb serves as control. Drugs having ef-
fects on the motor activity of the animals should also
affect the functionality of the control limb; therefore
the use of the F I enables to minimize this type of
interference. The FI is determined when rats are
forced to walk. This is a natural behavior of the ani-
mals and thus lengthy training sessions are not nec-
essary. Rats get used to the rotating apparatus in less
than 2 h. The use of small animals as experimental
subjects presents the advantage that significant
Figure 6. Dose-response curves of several analgesic agents de- amounts of drug are not required.
termined in the PIFIR. The response is expressed as AUC (vertical Many pharmacological assays, like those for
axis) estimated over a 4 h observation period. Left panel (A): ( a )
morphine sc, (B)pentazocine sc, and ( A ) d-propoxyphene sc.
drugs affecting the cardiovascular, respiratory, gas-
Right panel (B): (0) indomethacin sc, (A)dipyrone sc, and (0) trointestinal, or endocrine systems [Holford and
acetylsalicylic acid p.0. Symbols correspond to the mean 2 SE for Sheiner, 19811, permit the evaluation of efficacy as a
at least six determinations. function of time. In the area of analgesia, traditional
procedures, such as the "tail flick" or the "tail clip,"
evaluate behavioral responses like squeaking or biting
mination of the time course of study would accommo- after application of an acute stimulus. Therefore, after
date such compounds. several stimuli there is a conditioned learning effect
Histopathological analysis showed that uric acid interfering with the response. In the PIFIR method,
induced acute inflammatory response comparable to the noxious stimulus is applied only once and pro-
that seen with intra-articular injection of sodium urate duces a constant pain level.
crystals [Faires and McCarty, 1962; Van Arman et al., In addition to variations in potency, there were
19701. After uric acid injection, there was a motor important differences in the time courses of the anti-
dysfunction of the injected extremity, i.e., the rats nociceptive effect induced by the agents studies.
avoided the use of the injured hind limb when forced Morphine (ip) had a fast onset which diminished after
to walk. The onset of dysfunction was gradual with a reaching a maximum. Acetylsalicylic acid (po) re-
maximal (almost 100%) effect in 2.5 h. These features sulted in a more persistent effect, although the doses
ASSAY FOR ANALGESIC ACTIVITY: PlFlR 175

needed were quite high. Indomethacin (sc) induced D'Amour FE, Smith DL (1941): A method for determining loss of
an effect of considerable magnitude but of slow onset. pain sensation. J Pharmacol Exp Ther 72:74-79.
From the data in Figure 5, it is misleading to De Castro Costa MC, De Sutter P, Gybels J, Van Haes J (1981):
consider the analgesic efficacy at a fixed arbitrary time Adjuvant-induced arthritis in rats: A possible animal model for
chronic pain. Pain 10:173-185.
(for example 2 h after drug administration). The con-
struction of FI versus time curves allows the direct Faires JS, McCarty DJ (1962):Acute arthritis in man and dog after
intrasynovial injection of sodium urate crystals. Lancet ii:682-
determination of the maximal effect as well of the time 684.
to reach the maximum (Table 1).
Gibaldi M, Perrier D (1975): Pharmacokinetics. New York: Marcel
The AUC is a parameter that considers the over- Dekker, Inc., pp 293-296.
all kinetic profile, including the maximum as well as Holford NHG, Sheiner LB (1981): Understanding the dose-effect
the duration of the effect. For this, some drugs can relationship: Clinical application of pharmacokinetic-pharmaco-
have the Em, similar (i.e., d-propoxyphene and dipy- dynamic models. Clin Pharmacokinet 6:429-453.
rone, Table 1) but the AUC or integrated analgesic Jaffe JH, Martin WR (1991):Opioid analgesics and antagonists. In
effect could be different. Therefore, the parameter Goodman Gilman A, Rall TW, Nies AS, Taylor, P (eds): The
AUC was chosen for the construction of dose- Pharmacological Basis of Therapeutics, 8th ED. New York, Ox-
response curves. ford, Beijing, Frankfurt, Sao Paulo, Sidney, Tokyo, Toronto:
Pergamon Press, pp 485-521.
The ED,, values were calculated taking in ac-
count the maximal effect possible in this model (375 Mattok GL (1988): Premarketing biopharmaceutical require-
ments. Drug Information J 22:143-148.
area units) because in this way it is possible have a
parameter of comparison for all the drugs without an Okuda K, Nakahama H, Miyakawa H, Shima K (1984): Arthritis
induced in cat by sodium urate: A possible animal model for
arbitrary Em,, i.e., as in the case of morphine. tonic pain. Pain 18:287-297.
In conclusion, the method here presented has
Pardo EG, Rodriguez R (1966): Reversal by acetylsalicylic acid of
the following advantages: i) it allows the use of rodents pain induced functional impairment. Life Sci 5:775-781.
for studies of pain, ii) it permits determinants of the Pearson CM (1956): Development of arthritis, periarthritis and
time course of the analgesic effect in the same animal, periostitis in rats given adjuvants. Proc Soc Exp Biol Med 91:
iii) it does not require any long training period. The 95-101.
PIFIR method is not presently suitable to character- Pircio AW, Fedele CT, Bierwagen ME (1975): A new method for
ize agents such as indomethacin because of their de- the evaluation of analgesic activity using adjuvant-induced ar-
layed onset and long duration of action, but it could thritis in the rat. Eur J Pharmacol 31:207-215.
be modified the necessary time for evaluating. Randall LO, Selitto JJ: A method for measurement of analgesic
activity on inflamed tissue. Arch Int Pharmacodyn Ther 111:
409-419.
Rowland M, Tozer TN (1989): Clinical Pharmacokinetics. Con-
ACKNOWLEDGMENTS cepts and Applications, Second Edition. Philadelphia, London:
The authors wish to thank Dr. A. M. Flores for Lea and Febiger, pp 459-463.
histopathological analysis. Siegmund E, Cadmus R, Lu G (1957): A method for evaluating
both non-narcotic and narcotic analgesics. Proc Soc Exp Biol
Med 95:729-731.
Turker MN, Turker RK (1970): Analgesic action of lidoflazine
REFERENCES (R7904). Eur J Pharmacol 11:90-95.
Ayhan IH, Tiirker RK, Melli M (1983):A new method for the rapid Van Arman CG, Carlson RP, Risley EA, Thomas RH, Nuss GW
measurement of analgesic activity in rabbits. Arch Int Pharma- (1970): Inhibitory effects of indomethacin, aspirin and certain
codyn Ther 262:215-250. other drugs on inflammation induced in the rat and dog by
Bianchi C, Franceschini J (1954): Experimental observations on carrageenan, sodium urate and ellagic acid. J Pharmacol Exp
Haffner's method for testing analgesic drugs. Br J Pharmacol Ther 175:459-468.
9:280-284. Wheeler-Aceto H, Cowan A (1991):Standardization of the rat paw
Collier HOJ, Warner BT, Skerry R (1961): Multiple toe-pinch formalin test for the evaluation of analgesics. Psychopharmacol-
method for testing analgesic drugs. Br J Pharmacol 17:28-40. ogy 104:35-44.
Committee for Research and Ethical Issues of the International Woolfe G, McDonald AD (1944): The evaluation of the analgesic
Association for the Study of Pain (1980): Ethical standards for action of pethidine hydrochloride (Demerol). J Pharmacol Exp
investigation of experimental pain in animals. Pain 9:141-143. Ther 80:%0-307.

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